<%@ Control Language="VB" AutoEventWireup="false" CodeFile="CInfo.ascx.vb" Inherits="WebForms_Add_CInfo" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxToolkit" %>
<%@ Register Src="../WebControls/ClientSearch.ascx" TagName="ClientSearch" TagPrefix="uc1" %>

<div id="divMain" runat="server">
    <script type="text/javascript" language="javascript" src="../scripts/numFormat.js"></script>
    <script type="text/javascript" language="javascript" src="../scripts/dateFunc.js"></script>
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px;height: 5px;"></td></tr>
    </table>
    
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
        <td id="Policy_td" runat="server" align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;">
        </td>
        <td></td>
        </tr>
        <tr>
        <td id="Provider_td" runat="server" align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;">
        </td>
        <td align="right" style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #d63007;">
            Add New Individual
        </td>
        </tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>
    <br />
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
            <td align="left" style="font-weight: bold; font-size: 10pt; width: 800px; font-family: Arial; text-align: right">
                <asp:LinkButton id="lbtnSearch" runat="server" CausesValidation="False" ForeColor="#0C58A2">Search Existing Clients</asp:LinkButton>
                
            </td>
        </tr>
    </table>
    <uc1:ClientSearch ID="ClientSearch1" runat="server" Visible="false" />
    <asp:Label ID="lblSeqCd" runat="server" Text="" Visible="false"></asp:Label>
    <asp:Label ID="lblID" runat="server" Text="" Visible="false"></asp:Label>
    <asp:Label ID="lblQString" runat="server" Text="" Visible="false"></asp:Label><br />

    <table border="0" cellpadding="0" cellspacing="0" width="800">
    
    <tr>
    <!-- Start Menu -->
    <td style="width: 200px" valign="top">
    
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr>
            <td style="height: 30px"><img src="../images/redT.PNG" alt="selected" />
            </td>
            <td style="font-weight: bold; font-size: 10pt; font-family: Arial; color: Black; width: 180px; height: 30px;" align="right">
            <asp:LinkButton ID="Main_Info_btn" runat="server" Font-Underline="False" 
                    ForeColor="Black" CausesValidation="False">Main Information&nbsp;&nbsp;</asp:LinkButton>
            </td>
        </tr>
        <tr>
            <td style="height: 30px"><img src="../images/grayT.PNG" alt="selected" />
            </td>
            <td style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #999999; width: 180px; height: 30px;" align="right">
            <asp:LinkButton ID="Other_Info_btn" runat="server" Font-Underline="False" 
                    ForeColor="#999999" CausesValidation="False">Other Information&nbsp;&nbsp;</asp:LinkButton>
            </td>
        </tr>
        <tr>
            <td style="height: 30px"><img src="../images/grayT.PNG" alt="selected" />
            </td>
            <td style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #999999; width: 180px; height: 30px;" align="right">
            <asp:LinkButton ID="Correspondence_btn" runat="server" Font-Underline="False" 
                    ForeColor="#999999" CausesValidation="False">Correspondence&nbsp;&nbsp;</asp:LinkButton>
            </td>
        </tr>
        <tr>
            <td style="height: 30px"><img src="../images/grayT.PNG" alt="selected" />
            </td>
            <td style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #999999; width: 180px; height: 30px;" align="right">
            <asp:LinkButton ID="Attachments_btn" runat="server" Font-Underline="False" 
                    ForeColor="#999999" CausesValidation="False">Attachments&nbsp;&nbsp;</asp:LinkButton>
            </td>
        </tr>
        <tr>
            <td style="height: 30px"><img src="../images/grayT.PNG" alt="selected" />
            </td>
            <td style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #999999; width: 180px; height: 30px;" align="right">
            <asp:LinkButton ID="Risk_Profile_btn" runat="server" Font-Underline="False" 
                    ForeColor="#999999" CausesValidation="False">Risk Profile&nbsp;&nbsp;</asp:LinkButton>
            </td>
        </tr>        
        </table>
    
    </td>
    <!-- End Menu -->
    
    <!-- Start Content -->
    <td style="width: 600px">
    
        <table border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color: #f2f3f5">
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 10px;" align="left"></td>
            </tr>
            </table>
        </td></tr>        
        
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Name:</td>
                <td style="width: 490px; height: 28px;" align="left">
                    <asp:DropDownList ID="Salutation" runat="server" Width="64px">
                    </asp:DropDownList><asp:TextBox ID="LastName_txt" runat="server" Width="124px" TargetControlID="LastName_txt"></asp:TextBox><asp:TextBox ID="FirstName_txt" runat="server" Width="158px"></asp:TextBox><asp:TextBox ID="MiddleName_txt" runat="server" Width="124px"></asp:TextBox>
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px; height: 28px;" align="left">
                    &nbsp;Alias:</td>
                <td align="left" style="height: 28px">
                    <asp:TextBox ID="Alias_txt" runat="server" Width="188px"></asp:TextBox></td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 108px; height: 28px;" align="left">
                    &nbsp;Marital Status:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:DropDownList ID="MaritalStatus_cmb" runat="server" Width="194px">
                    </asp:DropDownList></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Gender:</td>
                <td style="width: 195px; height: 28px" align="left">
                    <asp:DropDownList ID="Gender_cmb" runat="server" Width="190px">
                    </asp:DropDownList>
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 107px; height: 28px;" align="left">
                    &nbsp;Date of Birth:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:TextBox ID="Birthdate_txt" runat="server" Width="188px"></asp:TextBox><br />
                    <asp:Label ID="Label8" runat="server" Font-Overline="False" Font-Size="7pt" ForeColor="Gray"
                        Text="dd/mm/yyyy" Width="64px" Font-Names="Verdana"></asp:Label>
                </td>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Place of Birth:</td>
                <td style="width: 195px; height: 28px" align="left">
                    <asp:TextBox ID="Birthplace_txt" runat="server" Width="184px"></asp:TextBox></td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 10px;" align="left"></td>
            </tr>
            </table>
        </td></tr>                
        </table> 

        <table border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color: #e9e9e9">
        <tr><td style="width: 601px">
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 28px;" align="left">
                    &nbsp;Address:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:TextBox ID="Add1_txt" runat="server" Width="188px"></asp:TextBox>
                </td>
                <td style="width: 299px; height: 28px" align="left">
                    <asp:TextBox ID="Add2_txt" runat="server" Width="288px"></asp:TextBox>
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td style="width: 601px">
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Country:</td>
                <td style="width: 195px; height: 28px" align="left">
                    <asp:DropDownList ID="Country_cmb" runat="server" Width="190px" AutoPostBack="True">
                    </asp:DropDownList>
                </td>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px; height: 28px;" align="left">
                    &nbsp;City:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:DropDownList ID="City_cmb" runat="server" Width="194px">
                    </asp:DropDownList>
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td style="width: 601px">
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px; height: 28px;" align="left">
                    &nbsp;Zip Code:</td>
                <td style="height: 28px" align="left">
                    <asp:TextBox ID="Zip_txt" runat="server" Width="188px"></asp:TextBox>
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td style="width: 601px">
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Nationality:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:TextBox ID="Nationality_txt" runat="server" Width="188px"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Residency:</td>
                <td style="font-size: 10pt; font-family: Verdana; width: 195px; height: 28px;" align="left">
                    <asp:TextBox ID="Residence_txt" runat="server" Width="112px"></asp:TextBox>
                    (in years)
                </td>
            </tr>
            </table>
        <tr><td style="width: 601px">
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Policy Owner:</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:CheckBox ID="chOwner" runat="server"  />
                </td>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Insured:</td>
                <td style="font-size: 10pt; font-family: Verdana; width: 195px; height: 28px;" align="left">
                    <asp:CheckBox ID="chInsured" runat="server" />
                </td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td style="width: 601px">
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp;Net Worth :</td>
                <td style="width: 190px; height: 28px" align="left">
                    <asp:TextBox ID="NetWorth_txt" runat="server" Width="112px"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 28px;" align="left">
                    &nbsp; Employment<br />
                    &nbsp; Income :</td>
                <td style="font-size: 10pt; font-family: Verdana; width: 195px; height: 28px;" align="left">
                    <asp:TextBox ID="Income_txt" runat="server" Width="112px"></asp:TextBox></td>
            </tr>
            </table>
        <tr><td style="width: 601px">
        </table> 
            
        <table border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color: #f2f3f5">
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 10px;" align="left"></td>
            </tr>
            </table>
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px;" align="left">
                    &nbsp;Telephone No:</td>
                <td style="width: 45px" align="center"><asp:TextBox ID="T1_txt" runat="server" Width="40px"></asp:TextBox></td>
                <td style="width: 40px" align="center"><asp:TextBox ID="T2_txt" runat="server" Width="32px"></asp:TextBox></td>
                <td style="width: 60px" align="center"><asp:TextBox ID="T3_txt" runat="server" Width="56px"></asp:TextBox></td>
                <td style="width: 45px" align="center"><asp:TextBox ID="T4_txt" runat="server" Width="40px"></asp:TextBox></td>
                <td style="width: 300px">&nbsp;</td>
            </tr>
            <tr>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 106px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 60px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px;" align="center" valign="top">
                    Ext</td>
                <td style="width: 300px">&nbsp;</td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px; height: 12px;" align="left">
                    &nbsp;Mobile No:</td>
                <td style="width: 45px; height: 12px;" align="center"><asp:TextBox ID="M1_txt" runat="server" Width="40px"></asp:TextBox></td>
                <td style="width: 40px; height: 12px;" align="center"><asp:TextBox ID="M2_txt" runat="server" Width="32px"></asp:TextBox></td>
                <td style="width: 60px; height: 12px;" align="center"><asp:TextBox ID="M3_txt" runat="server" Width="56px"></asp:TextBox></td>
                <td style="width: 45px; height: 12px;" align="center">
                    &nbsp;</td>
                <td style="width: 300px; height: 12px;">&nbsp;</td>
            </tr>
            <tr>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 106px; height: 19px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px; height: 19px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px; height: 19px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 60px; height: 19px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px; height: 19px;" align="center" valign="top">
                    &nbsp;</td>
                <td style="width: 300px; height: 19px;">&nbsp;</td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 107px;" align="left">
                    &nbsp;Fax No:</td>
                <td style="width: 45px" align="center"><asp:TextBox ID="F1_txt" runat="server" Width="40px"></asp:TextBox></td>
                <td style="width: 40px" align="center"><asp:TextBox ID="F2_txt" runat="server" Width="32px"></asp:TextBox></td>
                <td style="width: 60px" align="center"><asp:TextBox ID="F3_txt" runat="server" Width="56px"></asp:TextBox></td>
                <td style="width: 45px" align="center"><asp:TextBox ID="F4_txt" runat="server" Width="40px"></asp:TextBox></td>
                <td style="width: 300px">&nbsp;</td>
            </tr>
            <tr>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 107px;">
                    &nbsp;</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px;" align="center" valign="top">
                    Country</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 40px;" align="center" valign="top">
                    Area</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 60px;" align="center" valign="top">
                    Phone No</td>
                <td style="font-size: 7pt; font-family: Verdana; color: #999999; width: 45px;" align="center" valign="top">
                    Ext</td>
                <td style="width: 300px">&nbsp;</td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 107px; height: 24px;" align="left">
                    &nbsp;Email:</td>
                <td style="width: 190px; height: 24px;"><asp:TextBox ID="Email_txt" runat="server" Width="188px"></asp:TextBox></td>
                <td style="width: 150px; height: 24px;" align="center"><asp:Button ID="Save_btn" runat="server" Text="Save" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" /></td>
                <td style="width: 150px; height: 24px;" align="center"><asp:Button ID="Cancel_btn" runat="server" Text="Back" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" CausesValidation="False" /></td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 3px;" align="left"></td>
            </tr>
            </table>
        </td></tr>        
        </table>             
    </td>
    <!-- End Content --></tr>
    
    </table>        
    <ajaxToolkit:TextBoxWatermarkExtender ID="TextBoxWatermarkExtender1" runat="server"
        TargetControlID="Add1_txt" WatermarkText="No., Street, Floor, Bldg." WatermarkCssClass="WaterMk">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="TextBoxWatermarkExtender2" runat="server"
        TargetControlID="Add2_txt" WatermarkText="Brgy., Village, Area, District"  WatermarkCssClass="WaterMk">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:MaskedEditExtender ID="MaskedEditExtender1" runat="server" Mask="99/99/9999" MaskType="Date" TargetControlID="Birthdate_txt">
    </ajaxToolkit:MaskedEditExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="TextBoxWatermarkExtender3" runat="server" 
        TargetControlID="LastName_txt" WatermarkText="Last Name" WatermarkCssClass="WaterMk">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="TextBoxWatermarkExtender4" runat="server"
        TargetControlID="FirstName_txt" WatermarkText="First Name" WatermarkCssClass="WaterMk">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="TextBoxWatermarkExtender5" runat="server"
        TargetControlID="MiddleName_txt" WatermarkText="Middle Name" WatermarkCssClass="WaterMk">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <div>
        <asp:RequiredFieldValidator ID="rfv1" runat="server" ControlToValidate="LastName_txt"
            ErrorMessage="Last Name Required" Text="." ForeColor="White"></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv2" runat="server" ControlToValidate="FirstName_txt"
            ErrorMessage="First Name Required" Text="." ForeColor="White" ></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv3" runat="server" ControlToValidate="MaritalStatus_cmb"
            ErrorMessage="Marital Status Required" Text="." ForeColor="White" ></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv4" runat="server" ControlToValidate="Gender_cmb"
            ErrorMessage="Gender Required" Text="." ForeColor="White" ></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv5" runat="server" ControlToValidate="Country_cmb"
            ErrorMessage="Country Required" Text="." ForeColor="White" ></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv6" runat="server" ControlToValidate="City_cmb"
            ErrorMessage="City Required" Text="." ForeColor="White"></asp:RequiredFieldValidator>
        <asp:CustomValidator ID="dtv4" runat="server" ClientValidationFunction="valDate"
            ControlToValidate="Birthdate_txt" ErrorMessage="Invalid Date" ForeColor="White">.</asp:CustomValidator>&nbsp;
        <asp:ValidationSummary ID="ValidationSummary1" runat="server" ShowMessageBox="True"
            ShowSummary="False" />
        <br />
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender1" runat="server" TargetControlID="rfv1">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender2" runat="server" TargetControlID="rfv2">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender3" runat="server" TargetControlID="rfv3">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender4" runat="server" TargetControlID="rfv4">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender5" runat="server" TargetControlID="rfv5">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender6" runat="server" TargetControlID="rfv6">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:FilteredTextBoxExtender ID="FilteredTextBoxExtender1" runat="server"
            FilterType="Custom, Numbers" TargetControlID="NetWorth_txt" ValidChars=".">
        </ajaxToolkit:FilteredTextBoxExtender>
        <ajaxToolkit:FilteredTextBoxExtender ID="FilteredTextBoxExtender2" runat="server"
            FilterType="Custom, Numbers" TargetControlID="Income_txt" ValidChars=".">
        </ajaxToolkit:FilteredTextBoxExtender>
        &nbsp;
        &nbsp;&nbsp;
    </div>
</div>
